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ETFO Thames Valley Teacher Local - COVID-19 Screening
Please complete the COVID-19 screening questions prior to arriving at the ETFO Thames Valley Teacher Local office.
*
1.
Enter your First and Last Name
(Required.)
*
2.
Are you currently experiencing any of these symptoms?
Choose any/all that are new, worsening, and not related to other known causes or conditions you already have.
(Required.)
Fever or chills (Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher)
Cough or barking cough (Continuous, more than usual, making a whistling noise when breathing (not related to asthma, post-infectious reactive airways, COPD, or other known causes or conditions you already have)
Shortness of breath (Out of breath, unable to breathe deeply (not related to asthma or other known causes or conditions you already have))
Decrease or loss of taste or smell (Not related to seasonal allergies, neurological disorders, or other known causes or conditions you already have)
Muscle aches/joint pain (Unusual, long-lasting (not related to getting a COVID-19 vaccine in the last 48 hours, a sudden injury, fibromyalgia, or other known causes or conditions you already have)
Extreme tiredness (Unusual, fatigue, lack of energy (not related to getting a COVID-19 vaccine in the last 48 hours, depression, insomnia, thyroid dysfunction, or other known causes or conditions you already have)
Sore throatPainful or difficulty swallowing (not related to post-nasal drip, acid reflux, or other known causes or conditions you already have)
Runny or stuffy/congested noseNot related to seasonal allergies, being outside in cold weather, or other known causes or conditions you already have
HeadacheNew, unusual, long-lasting (not related to getting a COVID-19 vaccine and/or flu shot in the last 48 hours, tension-type headaches, chronic migraines, or other known causes or conditions you already have)
Nausea, vomiting and/or diarrheaNot related to irritable bowel syndrome, anxiety, menstrual cramps, medication side effects, or other known causes or conditions you already have
None of the above
3.
In the last 10 days, has someone you live with: been sick with symptoms associated with COVID-19 and/or tested positive for COVID-19 (on a rapid antigen test or PCR test)?
Yes
No
